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Evaluation ViewAttendees 5

Suicide and Self-Injury
Symposia

Symposium 114 - Suicide Prevention in Historically Underrepresented Groups: From Mechanisms to Implementation

Sunday, November 17, 2024
8:30 AM – 10:00 AM EST
Location: Grand Ballroom F, Level 5, Downtown Marriott
CE: 1.5

Keywords: Suicide, Underserved Populations, Evidence-Based Practice
Level of Familiarity: Basic to moderate
Recommended Readings: Khazem L. R. (2018). Physical disability and suicide: recent advancements in understanding and future directions for consideration. Current opinion in psychology, 22, 18–22.,  

Brown, G. K., Ten Have, T., Henriques, G. R., Xie, S. X., Hollander, J. E., & Beck, A. T. (2005). Cognitive therapy for the prevention of suicide attempts: a randomized controlled trial. JAMA, 294(5), 563–570.

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Brown, L. A., Webster, J. L., Tran, J. T., Wolfe, J. R., Golinkoff, J., Patel, E., Arcomano, A. C., Ben Nathan, J., Azat O'Connor, A., Zhu, Y., Oquendo, M., Brown, G. K., Mandell, D., Mowery, D., & Bauermeister, J. A. (2023). A Suicide Prevention Intervention for Emerging Adult Sexual and Gender Minority Groups: Protocol for a Pilot Hybrid Effectiveness Randomized Controlled Trial. JMIR research protocols, 12, e48177.

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Jager-Hyman, S., Maddox, B. B., Crabbe, S. R., & Mandell, D. S. (2020). Mental Health Clinicians' Screening and Intervention Practices to Reduce Suicide Risk in Autistic Adolescents and Adults. Journal of autism and developmental disorders, 50(10), 3450–3461.

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Suicide is a concerning public health problem, with rates increasing over 37% since the year 2000 and claiming over 49,000 lives in 2022. While we now have several efficacious suicide prevention treatments, we have not yet realized the ultimate promise of such interventions via decreased suicide rates. While there are likely multiple reasons for this, including lags in widespread implementation, the reality is that our current suicide prevention treatments do not work for everyone. Further, there are subgroups of individuals at high-risk for suicide that have been historically underrepresented and excluded from our intervention trials, thus the effectiveness (and needed intervention adaptations) for a wide range of underrepresented populations is unknown. This symposium brings together suicide prevention researchers who are seeking to address these gaps by investigating treatment mechanisms, necessary adaptations, efficacy/effectiveness, and implementation in a range of populations, including older adults, disabled adults, autistic individuals, and individuals who identify as sexual or gender minorities.
The presentations begin with an EMA study examining the relationships between intersectional minority identity, cognitive control, and suicidal ideation in a high-risk sample of emerging adults. Results suggest that difficulty with cognitive control is associated with increased suicidal ideation irrespective of intersectional minority identity, highlighting a potential mechanism for treatment. Next, preliminary findings from an ongoing pilot trial of Brief Cognitive Behavioral Therapy for suicide prevention adapted to be delivered via telehealth to people with disabilities will be presented. This study demonstrates the promise of this disability-affirming adaptation in reducing suicidal ideation. Next will be outcome results from a RCT in which Cognitive-Therapy for Suicide Prevention (CT-SP) was adapted to target suicidal ideation in men over 50 years of age. Results from this trial demonstrate the efficacy of this adapted treatment for reducing suicidal ideation in this high-risk population.
Next, results from a hybrid implementation-effectiveness study of a peer mentorship intervention paired with the Safety Planning Intervention (SPI) for sexual and gender minority emerging adults will be presented. These findings support the feasibility and acceptability of the intervention and promise in targeting suicidal ideation. Finally, clinician training results from an ongoing trial of an adapted version of the SPI for autistic individuals will be presented. This work demonstrates that training improved clinician attitudes and self-efficacy and that the adapted intervention was seen as highly feasible. Our discussant will then integrate these presentations by drawing from their extensive experience adapting, evaluating, and implementing evidence-based suicide interventions for underrepresented groups (i.e., individuals with severe mental illness and individuals involved with the legal system).

Learning Objectives:

At the end of this session, the learner will be able to:
  1. Describe the utility of EMA for identifying potential treatment targets for suicide prevention treatment.
  2. List the main components of cognitive behavioral therapy for suicide prevention when delivered to older and disabled adults.
  3. Identify strategies for training clinicians and peers to deliver and/or support the Safety Planning Intervention
  4. Discuss the benefits of attending to the unique needs and contextual factors of underrepresented groups in suicide prevention interventions.
  5. Describe 2-3 adaptations made to standard suicide prevention treatments to increase effectiveness for underrepresented groups.

Presentations:

  • 8:30 AM – 10:00 AM EST
    (SYM 114) Intersectional Minority Identity Examined as a Moderator of the Real-time Association Between Cognitive Control and Suicidal Ideation

    Speaker: Marin M. Kautz, Ph.D. (she/her/hers) – Perelman School of Medicine at the University of Pennsylvania

    Co-author: Kubarah Ghias, B.A. (she/her/hers) – Temple University

    Co-author: Kirsta Pennypacker, bA (she/her/hers) – Temple University

    Co-author: Lauren Alloy, Ph.D. (she/her/hers) – Temple University

    Co-author: Daniel Moriarity, Ph.D. – University of California, Los Angeles

  • 8:30 AM – 10:00 AM EST
    (SYM 114) Preliminary Findings from a Pilot Trial Brief Cognitive Behavioral Therapy for Suicide Prevention for the Disability Community

    Speaker: Lauren Khazem, Ph.D. (she/her/hers) – The Ohio State University Wexner Medical Center

    Co-author: Ennio Ammendola, PhD – The Ohio State University Wexner Medical Center

    Co-author: Samantha Daruwala, PhD – The Ohio State University Wexner Medical Center

    Co-author: Christina R. Bauder, M.P.H., Ph.D., LPC – The Ohio State University

    Co-author: Anastasia Britt, MSW – The Ohio State University Wexner Medical Center

    Co-author: Cameron Long, B.S. – The Ohio State University Wexner Medical Center

    Co-author: Jarrod Hay, B.A. – The Ohio State University

    Co-author: Taylor Sabbaugh, BS – The Ohio State University Wexner Medical Center

    Co-author: Justin Baker, Ph.D. – The Ohio State University

    Co-author: Craig Bryan, ABPP, Psy.D. (he/him/his) – The Ohio State University

  • 8:30 AM – 10:00 AM EST
    (SYM 114) A Randomized Controlled Trial of Cognitive Therapy for Suicide Prevention Adapted for Suicidal Older Men

    Speaker: Kelly L. Green, Ph.D. (she/her/hers) – Perelman School of Medicine at the University of Pennsylvania

    Co-author: Gregory Brown, PhD – University of Pennsylvania, Perelman School of Medicine

    Co-author: Gabriela K. Khazanov, Ph.D. – Corporal Michael J Crescenz VA Medical Center

    Co-author: Warren Bilker, Ph.D. (he/him/his) – University of Pennsylvania Perelman School of Medicine

    Co-author: Shari Jager-Hyman, Ph.D. (she/her/hers) – Perelman School of Medicine at the University of Pennsylvania

  • 8:30 AM – 10:00 AM EST
    (SYM 114) STARS to Reduce Suicide Risk Among Emerging Adults Who Identify as a Member of the Sexual and Gender Minority Community

    Speaker: Lily Brown, Ph.D. (she/her/hers) – University of Pennsylvania

    Co-author: Jessica Webster, MS, LPC (she/her/hers) – University of Pennsylvania

    Co-author: Jennifer Tran, PhD (she/her/hers) – University of Pennsylvania

    Co-author: Marin M. Kautz, Ph.D. (she/her/hers) – Perelman School of Medicine at the University of Pennsylvania

    Co-author: James Wolf, LPC (he/him/his) – University of Pennsylvania

    Co-author: Jenn Ben-Nathan, BA (she/her/hers) – University of Pennsylvania

    Co-author: Yiqin Zhu, MS (he/him/his) – University of Pennsylvania

    Co-author: Lindiwe S. Mayinja, B.S. – University of Pennsylvania

    Co-author: José Bauermeister, PhD (he/him/his) – University of Pennsylvania

  • 8:30 AM – 10:00 AM EST
    (SYM 114) Clinician Perceptions of Two Approaches to the Safety Planning Intervention Tailored for Autistic Individuals

    Speaker: Shari Jager-Hyman, Ph.D. (she/her/hers) – Perelman School of Medicine at the University of Pennsylvania

    Co-author: Lisa Morgan, M.Ed. CAS (she/her/hers) – Lisa Morgan Consulting

    Co-author: Daylin Delgado, BA (she/her/hers) – University of North Carolina - Chapel Hill

    Co-author: Julia Heinly, BA (she/her/hers) – University of North Carolina - Chapel Hill

    Co-author: Danielle Roubinov, PhD (she/her/hers) – University of North Carolina - Chapel Hill